| NPI | 1801035282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 4087) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X011762-1) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2011-03-03 |